We find it, fix it, and stay out of the way through our Lost Charge Recovery service. This is a comprehensive clinical review of a hospital´s outpatient claims to ensure that all documented items were billed, and that all billed items were charged appropriately.

Our experience has shown that most hospitals are receiving well below the reimbursement to which they are entitled, under their various managed care contracts.

The new regulations have made it harder and harder for hospitals to let their chargemasters drive their outpatient codes. Increasingly, HIM directors are turning to outside resources to help keep the accounts moving. We have a large staff of certified coders--some are RN's, some are not. All are excellent and have a thorough understanding of reimbursement.